Individual
MALLORY KATHRYN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4285 PARKWAY PLACE DR SW, GRANDVILLE, MI 49418-2385
(616) 252-3376
Mailing address
4285 PARKWAY PLACE DR SW, GRANDVILLE, MI 49418-2385
(616) 252-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301509122
MI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
4301509122
MI
Other
Enumeration date
05/24/2018
Last updated
05/19/2025
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